The CancerCare Co-Payment Assistance Foundation is a not-for-profit organization established in 2007 to address the needs of individuals who cannot afford their insurance co-payments to cover the cost of medications for treating cancer.
WHO IS ELIGIBLE?
The CancerCare Co-Payment Assistance Foundation takes into account a person’s financial and insurance situation when determining who is eligible for assistance.
The criteria used to determine if you are eligible are:
Financial Information
Individuals or families with incomes of up to four times the federal poverty level may qualify. See the poverty level chart below. The Foundation may also consider the cost of living in your particular city or state.
Diagnosis and Treatment
You must be diagnosed with one of the cancer types that the Foundation covers. This is a listing of diagnoses they currently cover:
Breast Cancer
Colon or Colorectal Cancer
Gastric Cancer
Glioblastoma
Head and Neck Cancer
Non-Small Cell Lung Cancer
Pancreatic Cancer
Prostate Cancer
Renal Cell Cancer
Your diagnosis must be verified by a doctor. Your doctor must complete and sign their physician verification form.
You must receive treatment dispensed in the United States, and the medication that you are taking must be approved by the Food and Drug Administration (FDA) for cancer.
Insurance Coverage
You must be covered by private insurance or an employer-sponsored health plan, —or—
Have Medicare Part B, Medicare Part D, Medicare Supplementary Health Insurance (“Medigap”) or Medicare Advantage Plan
If you are uninsured (do not have any insurance or medical plan that covers prescription medication) you are not eligible for co-payment assistance; however, we encourage you to contact us so that we can refer you to other organizations or patient assistance programs.
The Foundation grants assistance on a first-come, first-served basis, to the extent that funding is available.
HOW IT WORKS
Step 1: Apply
Call 1-866-55-COPAY to determine if you are eligible and begin the application process.
Step 2: Award Determination
They will send you a form to complete and return.
They will send you a form that your doctor will need to complete and return.
If approved, you will receive an Award Determination letter by mail with instructions for accessing your award.
Important Note: The Foundation will only send an application form to you after you call 1-866-552-6729 to speak with one of their specialists so that they can determine if you are eligible to apply.
